Genuine Care
Clinic/Center, Adult Day Care in State Line, MS. Organization (NPI-2).
NPI number1982110136
StatusActive
Last updated in NPPESDec 26, 2017
Details
- NPI
- 1982110136
- Entity type
- Organization (NPI-2)
- Legal business name
- Genuine Care
- Organization subpart
- No
- Enumeration date
- Dec 26, 2017
- Last updated
- Dec 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | MS | Yes |
Practice location
212 Main StreetState Line, MS 39362
Phone 601-410-5836 · Fax 888-449-9560
Mailing address
1507 Hardy St Ste 201Hattiesburg, MS 39401-4978
Phone 601-410-5836 · Fax 888-449-9560
Authorized official
Latonya Hailes
Owner
6014105836
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